Total laparoscopic juxtarenal abdominal aortic aneurysm repair

Abstract

Total laparoscopic JAAA repair is feasible and worthwhile for patients. Prior experience in laparoscopic aortic surgery is essential to perform these challenging procedures. Despite these encouraging results, a greater experience is required to ensure the benefit of this technique compared with open repair.

Laparoscopic treatment of renal artery entrapment

“…The transperitoneal retrorenal laparoscopic approach, although contraindicated for aortic surgery when the left renal vein is retroaortic as in our case, 19 appeared an ideal solution from the surgical point of view for releasing the LRA from its external compression. In addition, CA could be decompressed during the same laparoscopic operation.…”

Systematic review of perioperative outcomes following laparoscopic abdominal aortic aneurysm repair

“…Additionally, robotic-assisted techniques (both endovascular and non-endovascular) may in the future add another dimension to aortic aneurysm repair. [29][30][31][32][33][34][35][36][37] Conclusion Laparoscopic repair is feasible in specialist centres for the management of selected patients with AAA, with similar 30-day outcomes to open repair. There are drawbacks in terms of a learning curve, the risk of post-operative haemorrhage and increased operative time.…”

Laparoscopic-assisted treatment of abdominal aortic aneurysm requiring suprarenal cross-clamping

“…To date, a pure laparoscopic technique to treat patients with suprarenal aneurysm has been reported only by Coggia et al 22 The potential advantage of his approach is the capability to perform a two-stage aortic cross-clamping: firstly infrarenal, to open the aneurysmal sac and control back-flow from the aortic collaterals, then suprarenal to perform the proximal graft anastomosis. In this way, the time of renal ischemia is limited to the performance of the suture between the aorta and the graft.…”